摘要
目的:系统整合骨质疏松症患者药物治疗依从性的相关因素,为临床采取干预措施提供依据。方法:计算机检索国内外数据库中关于骨质疏松症患者药物治疗依从性的质性研究,检索时限为建库至2025年6月2日。对纳入的文献进行质量评价以及汇集性整合。结果:共纳入11篇文献,提炼出46个结果,归纳为13个类别,汇总为促进因素(疾病威胁感知、主动应对策略、医患信任、家庭支持、患者偏好)及阻碍因素(疾病认知不足、用药信念、医患沟通障碍、恐惧药物不良反应、疗效认知偏差、竞争性优先事项、日常生活干扰、随访支持不足与环境障碍)。结论:多种因素均会影响骨质疏松症患者药物治疗依从性,建议医护人员制定治疗方案时关注患者的内心体验与需求,完善支持系统,从而提高患者的药物治疗依从性。
Objective:To systematically integrate the related factors of medication adherence in patients with osteoporosis,and to provide a basis for developing clinical interventions.Methods:Qualitative studies on medication adherence in patients with osteoporosis were retrieved from Chinese and English databases from inception to June 2,2025.The quality of the included literature was evaluated and integrated.Results:A total of 11 studies were included.Forty-six findings were extracted and summarized into 13 categories.These were synthesized into promoting factors(perception of disease threat,active coping strategies,doctor-patient trust,family support,and preferences of patients)and hindering factors(insufficient disease awareness,medication beliefs,poor doctor-patient communication,fear of drug side effects,efficacy cognitive bias,competing priorities,daily life interference,and inadequate follow-up and environmental barriers).Conclusion:Multiple factors influence the medication adherence in patients with osteoporosis.It is recommended that medical staff should pay attention to patients'inner experiences and needs when formulating treatment plans,and enhance support systems,so as to improve patients'medication adherence.
作者
康薇
史君伟
龙阳
徐炜
KANG Wei;SHI Junwei;LONG Yang;XU Wei(Wuxi Medical College of Jiangnan University,Wuxi,Jiangsu province,214122,China)
出处
《中国护理管理》
北大核心
2025年第11期1708-1713,共6页
Chinese Nursing Management
基金
上海市长宁区医学硕博士创新人才基地项目(RCJD2022S01)。
